Total Joint Center of Excellence Scorecard
Advanced Comprehensive Joint Certification Measures 2023/24 Inpatient
Patients who are able to walk on the same day as surgery have faster recovery. This is a measurement of hip/knee replacement patients with documented walking on the day of surgery as a percent of all hip/knee replacement patients.
THKR-1 Regional Anesthesia
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
0/1 |
0% |
0/1 |
0% |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
100% |
100% |
N/A |
100% |
| Knee |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
NA |
0% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
100% |
N/A |
| Overall |
0/1 |
0% |
0/1 |
0% |
1/1 |
100% |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
100% |
100% |
100% |
100% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
1/1 |
100% |
1/1 |
100% |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
0% |
N/A |
100% |
100% |
N/A |
100% |
| Knee |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
0% |
N/A |
| Overall |
1/1 |
100% |
1/1 |
100% |
1/1 |
100% |
N/A |
50% |
N/A |
N/A |
N/A |
N/A |
0% |
100% |
100% |
100% |
0% |
100% |
THKR-3 Discharged to Home
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
N/A |
0/1 |
0% |
0/1 |
0% |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
100% |
100% |
N/A |
| Knee |
N/A |
N/A |
N/A |
N/A |
N/A |
0/1 |
0% |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
0% |
| Overall |
N/A |
N/A |
0/1 |
0% |
0/1 |
0% |
0/1 |
0% |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
100% |
100% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
April '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sept '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
N/A |
1/1 |
100% |
0/1 |
0% |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
100% |
100% |
N/A |
100% |
| Knee |
N/A |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
100% |
N/A |
| Overall |
1/1 |
100% |
0/1 |
0% |
1/1 |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
100% |
100% |
100% |
100% |
100% |
100% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec'23 |
Jan'24 |
Feb'24 |
Mar '24 |
| Hip |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
0% |
N/A |
100% |
0% |
N/A |
N/A |
| Knee |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
| Overall |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
0% |
0% |
100% |
0% |
N/A |
N/A |
Advanced Comprehensive Joint Certification Measures 2023/24 Outpatient
THKR-1 Regional Anesthesia
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
19/21 |
90% |
13/18 |
72% |
12/15 |
80% |
95% |
94% |
91% |
89% |
95% |
92% |
90% |
96% |
96% |
100% |
100% |
100% |
| Knee |
38/40 |
95% |
32/43 |
74% |
44/52 |
85% |
96% |
87% |
88% |
94% |
100% |
91% |
95% |
100% |
97% |
100% |
97% |
100% |
| Overall |
57/61 |
93% |
45/61 |
74% |
56/67 |
84% |
96% |
90% |
89% |
92% |
98% |
91% |
94% |
98% |
97% |
100% |
98% |
100% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
18/21 |
86% |
14/18 |
78% |
12/15 |
80% |
100% |
83% |
91% |
89% |
95% |
83% |
86% |
84% |
75% |
80% |
85% |
85% |
| Knee |
38/40 |
95% |
36/43 |
84% |
48/52 |
92% |
96% |
96% |
91% |
91% |
89% |
94% |
82% |
85% |
79% |
88% |
85% |
85% |
| Overall |
56/61 |
92% |
50/61 |
82% |
60/67 |
90% |
97% |
90% |
91% |
90% |
91% |
91% |
83% |
85% |
78% |
86% |
85% |
85% |
THKR-3 Discharged to Home
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
20/21 |
95% |
17/18 |
94% |
13/15 |
87% |
95% |
94% |
100% |
94% |
95% |
92% |
95% |
100% |
96% |
100% |
100% |
100% |
| Knee |
38/40 |
95 |
42/43 |
98% |
51/52 |
98% |
100% |
100% |
100% |
100% |
97% |
97% |
95% |
93% |
97% |
97% |
94% |
100% |
| Overall |
58/61 |
95% |
59/61 |
97% |
64/67 |
96% |
99% |
99% |
100% |
98% |
97% |
96% |
95% |
95% |
97% |
98% |
96% |
100% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
21/21 |
100% |
18/18 |
100% |
14/15 |
93% |
100% |
94% |
100% |
100% |
100% |
100% |
100% |
96% |
100% |
100% |
100% |
100% |
| Knee |
39/40 |
98% |
43/43 |
100% |
51/52 |
98% |
96% |
100% |
98% |
97% |
97% |
100% |
100% |
100% |
97% |
100% |
100% |
100% |
| Overall |
60/61 |
98% |
61/1 |
100% |
65/67 |
97% |
97% |
98% |
99% |
98% |
98% |
100% |
100% |
98% |
98% |
100% |
100% |
100% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Jan '23 |
Jan '23 |
Feb '23 |
Feb '23 |
Mar '23 |
Mar '23 |
Apr '23 |
May '23 |
June '23 |
July '23 |
Aug '23 |
Sep '23 |
Oct '23 |
Nov '23 |
Dec '23 |
Jan '24 |
Feb '24 |
Mar '24 |
| Hip |
10/21 |
N/A |
N/A |
N/A |
N/A |
N/A |
55% |
35% |
61% |
39% |
78% |
40% |
39% |
32% |
35% |
40% |
N/A |
N/A |
| Knee |
23/40 |
N/A |
N/A |
N/A |
N/A |
N/A |
53% |
38% |
52% |
56% |
76% |
37% |
39% |
43% |
36% |
59% |
N/A |
N/A |
| Overall |
33/61 |
N/A |
N/A |
N/A |
N/A |
N/A |
54% |
37% |
55% |
50% |
77% |
38% |
39% |
38% |
36% |
55% |
N/A |
N/A |